The Efficacy of the Half Somersault Maneuver in Comparison to the Epley Maneuver in Patients with Benign Paroxysmal Positional Vertigo

Abstract

OBJECTIVE: Benign Paroxysmal Positional Vertigo (BPPV) as the most common vestibular disorder can affect the quality of life. This study aimed to compare the effectiveness of the half somersault maneuver (HSM) as a treatment to that of the Epley maneuver (EM) as a clinical-based treatment in subjects with PC-BPPV. Methods: In this randomized study, 43 participants with unilateral posterior canal BPPV were recruited. The experimental group received the HSM, whereas the control group received the EM. All participants were asked to fill in the Vestibular Rehabilitation Benefit Questionnaire (VRBQ), Dizziness Handicap Inventory (DHI), and Vertigo Symptom Scale (VSS) questionnaires at pretreatment and at 48 hours, 1 week, and 1 month post-treatment. The severity of residual dizziness was determined by the visual analog scale (VAS) weekly for up to 4 weeks after treatment. The success rate and the recurrence rate were assessed after the 3-month follow-up. Results: The differences between the results of pretreatment and post-treatment questionnaires for both groups were significant. However, the differences were not significant between the 2 groups for the DHI scores, the total, dizziness, motion-provoked dizziness, and symptom subscale scores of the VRBQ, and the anxiety subscale scores of the VSS. There were significant differences between the 2 groups for VAS, the total VSS and vertigo subscale scores, and the VRBQ anxiety subscale scores. Conclusion: Even though both maneuvers are significantly effective in the treatment of PC-BPPV, subjects in the HSM group reported more improvement in terms of psychometric symptoms and residual dizziness compared to the EM group.

Effects of Half-Somersault and Brandt-Daroff exercise on dizziness, fear of fall and quality of life in patients with posterior canal benign paroxysmal positional vertigo: a randomised control trial

“…The total of 8 sessions were held (twice a day, 2 days a week, for 2 weeks). (10) First assessment was at baseline, and the second assessment was done after two weeks. SPSS version 22 was used for data analysis.…”

Role of Vestibular Suppressants (B. Histine, Cinnarizine, Meclizine) after Successful Epley’s Maneuvers in Benign Paroxysmal Positional Vertigo

“…Khaftari MD et al, verified the efficacy of the Epley maneuver in the management of BPPV, as shown in the current investigation. Exercises like the "Half somersault" have been suggested as an alternative to the Epley that is more resistive but also has less risks 20 .…”

“…Treatments (vestibular suppressants) for BPPV that work when individuals report continuing to have symptoms after a successful Epley's maneuvers. Many explanations have been proposed for these persistent signs and symptoms 20 . According to Knoll RM et al, those who have persistent symptoms often experience psychological distress or dread of more episodes of dizziness.…”

Effects of Different Durations and Frequencies of Vestibular Rehabilitation in Patients With Residual Symptoms After Benign Paroxysmal Positional Vertigo Repositioning

“…19,24 Another item is the VRBQ, which is a specific scale designed specifically to treat patients receiving vestibular rehabilitation that can better evaluate the efficacy of vestibular rehabilitation and changes in quality of life. 20,25 There are tens of special assessment scales for patients with vestibular dysfunction thus far, but most of them focus on quantifying the severity of vertigo symptoms and lack the assessment of the quality of life dimension. 26 Moreover, these scales do not involve reactivity tests, and the availability of clinical efficacy evaluations needs to be discussed.…”